Rare Tumors Rare Association: Ovarian Strumal Carcinoid - Retroperitoneal Cystic Lymphangioma
E. Târcoveanu, A. Vasilescu, V. Fotea, D. Ciobanu, F. Crumpei, C. BradeaClinical case, no. 3, 2015
Introduction: Strumal carcinoid is a rare neoplasm of theovary containing thyroid (struma) and carcinoid component revealed by immunohistochemistry.
Case present: A 55-years-old woman with hysterectomy andright oophorectomy for uterine leiomyoma and right ovariancyst, performed 12 years ago, was referred to the First SurgicalClinic, St. Spiridon University Hospital Iasi with pain inhypogastrium present for 2 months. Laboratory tests are normaland serum testing for tumor markers is unchanged. Ultrasoundand CT finds for topography of the left ovary a well-defined 63 57 71 mm cystic mass, with a non-uniform wall thickness. Exploration laparoscopy, after adhesiolysis, identifies a cystictumor developed in mesosigmoid which was excised and auterine tube with cystic dilatation and left ovary with intactcapsule, for which we performed left adnexectomy andextracted pieces of tumors in endobag. Evolution is simple, the patient being discharged after 3 days postoperatively. Histopathological exam and immunohistochemistry reveal edovarian strumal carcinoid and cystic lymphangioma. After oneyear follow up the patient is disease free.
Conclusion: This association between an ovarian strumal carcinoid with mesosigmoidian cystic lymphangioma isunusual and rare, not cited in the literature. A laparoscopic approach for the two conditions is safe with good immediate and distant postoperative course.
